Organization Active NPI

Bruder MD Hair PC

  • Specialist
  • New York, NY
National Provider Identifier
1316243777
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BRUDER MD HAIR PC
Practice address
122 E 64TH St
New York, NY 10065-7358
Phone
(212) 288-2887
Fax
(212) 308-7094
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philip Bruder, MD
Title
President
Phone
(212) 288-2887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

122 E 64TH St
New York, NY 10065-7358

Mailing address

122 E 64TH St
New York, NY 10065-7358
Phone (212) 288-2887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1316243777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E 64TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657358",
            "telephone_number": "212-288-2887",
            "fax_number": "212-308-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 64TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657358",
            "telephone_number": "212-288-2887",
            "fax_number": "212-308-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUDER MD HAIR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "BRUDER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-288-2887",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.